NPIMap

Individual provider Active NPI

Adrianna Derin Jensen, MD

  • Ophthalmology Physician
  • Longmont, CO
National Provider Identifier
1255825378
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR.0072957 Issued in CO
Practice address
1400 Dry Creek Dr
Longmont, CO 80503-6499
Phone
(303) 772-3300
Fax
(303) 682-3380
NPI assigned
Jun 21, 2018
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DR.0072957 CO Primary

Addresses

Primary practice location

1400 Dry Creek Dr
Longmont, CO 80503-6499

Mailing address

PO Box 743749
Los Angeles, CA 90074-3749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220621001237 CA Practitioner - Ophthalmology 7315295813 Reassigns benefits to 4 organizations
I20240806004413 CO Practitioner - Ophthalmology 7315295813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of Northern Colorado, PCGroup PAC ID 6507834181, 16 clinicians

Practice addresses (Care Compare)

1400 Dry Creek Dr
Longmont, CO 80503-6499
Phone (303) 772-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0072957COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 22, 2022 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2022 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco CurrentSince Jun 22, 2022 Accepting new patients
Eye Care Center of Northern Colorado, PC Ophthalmology CurrentSince Aug 15, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 22, 2022 Accepting new patients
UCSF Medical Group Business Services Ophthalmology CurrentSince Jun 22, 2022 Accepting new patients
Regents of the University of California CurrentSince Jun 22, 2022 Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
University of California San Francisco Medical Center PastSince Jul 3, 2022 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

490 Illinois St
Fl 5
San Francisco, CA 94143
Phone (415) 353-4433

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

3000 Center Green Dr
Ste 250
Boulder, CO 80301
Phone (303) 772-3300

1616 15th St
Greeley, CO 80631
Phone (970) 352-6688

300 Exempla Cir
Ste 120
Lafayette, CO 80026
Phone (303) 665-8766

1400 Dry Creek Dr
Longmont, CO 80503
Phone (303) 682-3383

Interoperability endpoints

  • Direct secure messaging: adrianna.jensen.1@16278.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1255825378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743749",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036499",
            "telephone_number": "303-772-3300",
            "fax_number": "303-682-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ADRIANNA",
        "middle_name": "DERIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0072957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.